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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT02982954
Other study ID # CA209-920
Secondary ID
Status Completed
Phase Phase 4
First received
Last updated
Start date January 16, 2017
Est. completion date October 6, 2021

Study information

Verified date October 2022
Source Bristol-Myers Squibb
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

To investigate the safety of Nivolumab in combination with Ipilimumab in subjects with previously untreated advanced or metastatic Renal Cell Cancer.


Recruitment information / eligibility

Status Completed
Enrollment 211
Est. completion date October 6, 2021
Est. primary completion date May 11, 2020
Accepts healthy volunteers No
Gender All
Age group 18 Years and older
Eligibility Inclusion Criteria: 1. Type of Participant and Target Disease Characteristics 1. Advanced or metastatic RCC 2. Histologically confirmed, previously untreated (treatment-naive) RCC 3. No prior systemic therapy for RCC except for one prior adjuvant or neoadjuvant therapy for completely resectable RCC 4. Measurable disease as per RECIST 1.1. Subject must have extracranial metastasis as measurable disease 5. Karnofsky Performance Status (KPS) of at least 70% for Cohort 1, 2, and 3; KPS of 50-60% for Cohort 4 6. Tumor tissue need be received by the central vendor (block or unstained slides). Note: Fine Needle Aspiration (FNA)and bone metastases samples are not acceptable for submission. Exclusion Criteria: 1. Medical Conditions 1. Subjects with any active autoimmune disease or a history of known autoimmune disease 2. Prior malignancy active within the previous 3 years except for locally curable cancers that have been apparently cured 3. Known HIV or AIDS-related illness 4. Any positive test for hepatitis B or hepatitis C virus indicating acute or chronic infection. 2. Prior/Concomitant Therapy 1. Prior systemic treatment in the metastatic setting with Vascular epithelial growth factor(VEGF) or VEGF receptor targeted therapy 2. Prior treatment with an anti-Programmed Death (PD) -1, anti-PD-L1, anti-PD-L2, anti-cluster of differentiation 137 (CD137), or anti-cytotoxic T-lymphocyte-associated antigen 4(CTLA-4) antibody, or any other antibody or drug specifically targeting T-cell co-stimulation or checkpoint pathways. This includes the utilization of these agents in the neo-adjuvant or adjuvant setting. 3. Anti-cancer therapy less than 28 days prior to the first dose of study drug or palliative, focal radiation therapy less than 14 days prior to the first dose of study drug. Other protocol defined inclusion/exclusion criteria apply

Study Design


Related Conditions & MeSH terms


Intervention

Drug:
Nivolumab
Specified dose on specified day
Ipilimumab
Specified Dose on Specified Day

Locations

Country Name City State
United States University Of New Mexico Albuquerque New Mexico
United States Alaska Urological Institute dba Alaska Clinical Research Center Anchorage Alaska
United States Emory University - Winship Cancer Institute Atlanta Georgia
United States Texas Oncology Austin Texas
United States Montefiore Medical Center Bronx New York
United States Maimonides Medical Center Brooklyn New York
United States Southdale Cancer Clinic Burnsville Minnesota
United States Ironwood Cancer And Research Centers, Pc Chandler Arizona
United States Charleston Hematology Oncology Associates, Pa Charleston South Carolina
United States Hollings Cancer Center Charleston South Carolina
United States University of Virginia Health System Charlottesville Virginia
United States Tennessee Oncology, PLLC - SCRI - PPDS Chattanooga Tennessee
United States Local Institution - 0009 Coon Rapids Minnesota
United States Texas Oncology Dallas Texas
United States Duke University Medical Center Durham North Carolina
United States eCare Encinitas California
United States Local Institution - 0042 Fairfax Virginia
United States Local Institution - 0028 Fayetteville Arkansas
United States Florida Cancer Specialists S. Fort Myers Florida
United States Local Institution - 0012 Fort Wayne Indiana
United States Texas Oncology-Fort Worth 12th Ave Fort Worth Texas
United States Southeastern Medical Oncology Center Goldsboro North Carolina
United States St. Francis Cancer Treatment Center Grand Island New York
United States Local Institution - 0023 Hackensack New Jersey
United States Hattiesburg Clinic Hattiesburg Mississippi
United States Jackson Oncology Associates, Pllc Jackson Mississippi
United States Broome Oncology Johnson City New York
United States HCA Midwest Division Kansas City Missouri
United States Comprehensive Cancer Centers of Nevada Las Vegas Nevada
United States Pacific Shores Medical Group Long Beach California
United States Los Angeles Cancer Network Los Angeles California
United States UCLA Hematology Oncology Los Angeles California
United States Norton Cancer Institute Louisville Kentucky
United States University of Wisconsin Clinical Science Center Madison Wisconsin
United States University Of Miami/Sylvester Cancer Center Miami Florida
United States Texas Oncology-Midland Allison Cancer Center Midland Texas
United States Bon Secours St Francis Hospital Midlothian Virginia
United States Park Nicollet Clinic Cancer Center Minneapolis Minnesota
United States Northwest Alabama Cancer Center, Pc Muscle Shoals Alabama
United States Local Institution - 0002 Nashville Tennessee
United States Vanderbilt University Medical Center Nashville Tennessee
United States Local Institution - 0052 New York New York
United States Weill Cornell Medical College New York New York
United States Illinois Cancer Specialists Niles Illinois
United States UF Health Cancer Center at Orlando Health Orlando Florida
United States Local Institution - 0071 Pittsburgh Pennsylvania
United States Torrance Health Association Redondo Beach California
United States Virginia Cancer Institute Richmond Virginia
United States Kaiser Permanente Medical Group - Southern California Riverside California
United States Florida Cancer Specialists Saint Petersburg Florida
United States Texas Oncology San Antonio Texas
United States Sharp Memorial Hospital San Diego California
United States Coastal Integrative Cancer Care San Luis Obispo California
United States Central Coast Med Oncology Santa Maria California
United States University of Washington - Seattle Cancer Care Alliance Seattle Washington
United States Avera Cancer Institute Sioux Falls South Dakota
United States Medical Oncology Associates Spokane Washington
United States SUNY Upstate Medical University Syracuse New York
United States Oklahoma Cancer Specialists and Research Institute, LLC-Clinical Research Tulsa Oklahoma
United States Cancer Center Of Kansas Wichita Kansas
United States Yakima Valley Memorial Hospital/North Star Lodge Yakima Washington

Sponsors (1)

Lead Sponsor Collaborator
Bristol-Myers Squibb

Country where clinical trial is conducted

United States, 

Outcome

Type Measure Description Time frame Safety issue
Primary Number of Participants With High Grade (Grade 3-4) Immune Mediated Adverse Events (IMAEs) Number of participants with IMAEs in the following categories: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity Approximately 39 Months
Primary Number of Participants With High Grade (Grade 5) Immune Mediated Adverse Events (IMAEs) Number of participants with IMAEs in the following categories: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity Approximately 39 Months
Secondary Time to Onset of Grade 3-5 Immune Mediated Adverse Events (IMAEs) Time to onset is defined as the duration of time in weeks from the first dosing to the immune modulating adverse event onset date. Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death From first dose to the earliest IMAE (grade 3-5) event onset date (up to approximately 116 weeks)
Secondary Time to Resolution of Grade 3-5 Immune Mediated Adverse Events (IMAEs) Time to resolution is defined as the longest time from IMAE onset date to complete resolution or improvement to the grade at baseline experienced by the participant (the IMAE end date). Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death From the IMAE onset date to the IMAE end date, up to approximately 194 weeks
Secondary Number of Participants Who Received Immune Modulating Medication for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs) The number of participants who received immune modulating medication for participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death From first dose up to 100 days post last dose (up to approximately 29 months)
Secondary Number of Participants Who Received Hormone Replacement Therapy for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs) The number of participants who received Hormone Replacement Therapy for experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death From first dose up to 100 days post last dose (up to approximately 29 months)
Secondary Number of Participants Who Received = 40mg of Prednisone for High Grade (Grades 3-5) Immune Mediated Adverse Events (IMAEs) The number of participants who received = 40mg of prednisone for high grade (grades 3-5) IMAEs. Participants experiencing all high grade (CTCAE v4 Grade 3-4 and Grade 5) Immune Mediated Adverse Events (IMAEs) in the following categories will be included: Skin, Endocrine, Gastrointestinal, Hepatic, Renal, Pulmonary and Hypersensitivity. IMAEs are specific events (or groups of preferred terms describing specific events) considered as potential immune-mediated events by investigator, that meet the following definition: (1) those occurring within 100 days of the last dose (2) regardless of causality (3) with no clear alternate etiology based on investigator assessment, or with an immune-mediated component and (4) treated with immune-modulating medication. Grade 3= Severe reaction, Grade 4 = Life-threatening, Grade 5 = Death From first dose up to 100 days post last dose (up to approximately 29 months)
Secondary Median Progression Free Survival (PFS) PFS is defined as the time from first dose to the date of the first documented progressive disease (PD) as determined by the investigator (per RECIST 1.1 criteria or clinical) or death due to any cause whichever occur first. Progressive disease is defined as progression of existing non-target lesions or at least a 20% increase in the sum of diameters of target lesions, taking as reference the smallest sum on study (this includes the baseline sum if that is the smallest on study). In addition to the relative increase of 20%, the sum must also demonstrate an absolute increase of at least 5 mm. The appearance of one or more new lesions is also considered progression. From first dose to the date of the first documented progressive disease, up to approximately 12 months
Secondary Objective Response Rate (ORR) ORR is defined as the percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable participants. Best overall response is defined as the best response recorded from the start of the study treatment until the end of treatment. The participant's best overall response assignment will depend on the findings of both target and non-target disease and will also take into consideration the appearance of new lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (< 10mm short axis). From first dose up to the date of objectively documented progression or the date of subsequent therapy, whichever occurs first (up to approximately 26 months)
Secondary Time to Response Rate (TRR) TTR is defined as the median percentage of participants with a best overall response (BOR) of complete response (CR) or partial response (PR) divided by the number of response evaluable participants. Best overall response is defined as the best response recorded from the start of the study treatment until the end of treatment. The participant's best overall response assignment will depend on the findings of both target and non-target disease and will also take into consideration the appearance of new lesions. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (< 10mm short axis). From the date of first dose to first documented CR or PR, up to approximately 15 months
Secondary Duration of Response (DOR) DOR is defined as the time between the date of first confirmed response to the date of the first documented tumor progression per Response Evaluation Criteria in Solid Tumors (RECIST) 1.1, or death due to any cause, whichever occurs first. DOR will be computed for participants who achieve partial response (PR) or complete response (CR) only. Partial response is defined as at least a 30% decrease in the sum of diameters of target lesions, taking as reference the baseline sum diameters. Complete response is defined as the disappearance of all lesions and normalization of tumor marker level. All lymph nodes (whether target or non-target) must be non-pathological in size (< 10mm short axis). From first confirmed response to the date of the first documented tumor progression or death, up to approximately 48 months
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